Formulas · Transform Phlegm 化痰 · Danggye Simbeop (丹溪心法)

Arisaema and Aconite Powder

Seongbu-san

한글 성부산 · Pinyin Xing Fu San

星附散

嚲曳 — hanging and dragging — describes a limb that is slack rather than contracted. 得汗爲度 sets sweating as the endpoint of dosing.

Composition 構成

Namseong Tian Nan Xing
天南星 천남성 · Arisaema

4 g
Chief 君

ginger-prepared · toxic
Banha Ban Xia
半夏 반하 · Pinellia

4 g
Chief 君

ginger-prepared
Buja Fu Zi
附子 부자 · Prepared Aconite

4 g
Chief 君

blast-fried
Insam Ren Shen
人蔘 인삼 · Ginseng

4 g
Deputy 臣
Baekbuja Bai Fu Zi
白附子 백부자 · Typhonium Rhizome

4 g
Deputy 臣
Cheono Chuan Wu
川烏 천오 · Aconite Main Root

4 g
Deputy 臣

toxic
Baekbokryeong Fu Ling
白茯苓 백복령 · Poria (white)

4 g
Assistant 佐
Baekgangjam Bai Jiang Can
白殭蠶 백강잠 · Silkworm

4 g
Assistant 佐
Molyak Mo Yao
沒藥 몰약 · Myrrh

2 g
Envoy 使

Total 34 g per packet (첩) · representative dosage — verify against source texts.

Received this formula from your practitioner? Amounts shown here are classical reference values — granule and prepared products differ. Always follow your prescribed dosage and directions.

Actions 效能

Treats wind stroke in which only the limbs hang useless
Taken until sweat comes

Indications 主治

Pattern-based

Wind phlegm with the limbs hanging slack
Yang vacuity with phlegm in the channels

Biomedical correlates

Flaccid hemiplegia
Post-stroke limb weakness

Source text 原文

Donguibogam 東醫寶鑑

治中風只手足嚲曳. 南星ㆍ半夏(並薑製)ㆍ人參ㆍ附子(炮)ㆍ白附子ㆍ白茯苓ㆍ川烏ㆍ白殭蚕各一錢, 沒藥五分. 右剉, 作一貼, 酒水各半煎服, 得汗爲度. 《丹心》

Translation

Treats wind stroke in which only the hands and feet hang useless. Arisaema and pinellia, both ginger-prepared, ginseng, blast-fried aconite, typhonium, poria, aconite kusnezoffii and silkworm, 1 don each; myrrh, 5 fun. Cut up, make one packet, decoct in half wine and half water, and take until sweat comes. — Danggye Simbeop 丹心 (Donguibogam · Pung)

Clinical commentary 臨床

Two aconites in one packet, decocted in half wine, and taken until the patient sweats. That is as aggressive as the chapter gets, and the indication explains the choice: only the limbs are affected and the patient is otherwise clear, so there is no clouded consciousness to worry about and the yang can be forced to the extremities. The construction is pure phlegm-and-yang — arisaema, pinellia, typhonium, both aconites — with ginseng alone to hold the qi. Aconite kusnezoffii and blast-fried aconite together in wine, dosed to sweating, carries a real risk of cardiotoxicity; this is not a formula to reproduce. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.